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Tertiary Education Union – National Women’s Committee nomination form: 2013 - 2014 National Women’s Committee - Te Kahurangi Māreikura Four Academic staff representatives Four General/Allied/Professional staff representatives Nominator I nominate _______________________________________________ for the position of academic staff representative/general/allied/professional staff representative (choose one) on the 2013-2014 National Women’s Committee, Te Kahurangi Māreikura.

Nominator’s name

Nominator’s signature


Seconder’s signature


Nominee’s signature


Seconder I second the above nomination.

Seconder’s name Nominee I accept the above nomination.

Nominee’s name

Candidates for the national women’s committee, Te Kahurangi Māreikura must be women and must be nominated and seconded by financial women members of the relevant constituency. Please print names clearly. Nominations close at 5.00 pm on Wednesday 10 October 2012 with the returning officer, PO Box 11767, Wellington, fax 04 385 8826 or